Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Timothy R Peterson, DPT

Individual provider Physical Therapist · NPI 1073231288

Timothy R Peterson, DPT is a Physical Therapist in Private Practice in Rocky Hill, Connecticut. Qualified in 2022, 4 years ago. Practices with Suburban Physical Therapy and Sports Medicine Center, LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
4
Licensed in
CT
In the registry since
2022
Specialties on file
5
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

506 Cromwell Ave Ste 103
Rocky Hill, CT 06067-1851
Phone: (860) 721-9801
Fax: (860) 721-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 13659 (CT)
Physical Therapist Taxonomy 225100000X · Licence 13659 (CT)
Geriatric Physical Therapist Taxonomy 2251G0304X · Licence 13659 (CT)
Neurology Physical Therapist Taxonomy 2251N0400X · Licence 13659 (CT)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 13659 (CT)

Record details

NPI number1073231288
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 15, 2022
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Suburban Physical Therapy And Sports Medicine Center, Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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